| NPI | 1053104760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL RN9673866) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2489896) |
| Enumeration Date | 2025-05-26 |
| Last Update Date | 2025-05-26 |